MA Billing Specialist

Corporate New Location • Minnetonka, MN

3d • Remote

About The Position

MAC Midwest is seeking an experienced Billing Specialist focused on Minnesota Medical Assistance (MA) billing, claims resolution, and timely reimbursement. The role monitors unpaid claims, investigates denials, prepares appeals, and follows up with the Minnesota Department of Human Services (DHS) and other payer contacts to resolve payment issues. Experience working with Minnesota DHS or state healthcare programs is especially valuable. The specialist collaborates with Revenue Cycle leadership, Credentialing, Authorizations, and clinical teams to resolve barriers and keep claims moving.

The position is remote and limited to Minnesota residents. Work is Monday through Friday, scheduled between 6 a.m. and 6 p.m. Central Time. Candidates must complete required background checks and protect confidential information in accordance with HIPAA and organizational policies.

Requirements

• High school diploma or equivalent.
• At least five years of medical billing experience, including claims submission, accounts receivable follow-up, denials, and appeals.
• Experience billing Minnesota Medical Assistance (MA), including researching unpaid claims, resolving denials, and meeting payer requirements and timely filing deadlines.
• Experience with professional billing using the CMS-1500 claim format, electronic claim submission, payer portals, and electronic remittance information.
• Ability to identify billing issues involving eligibility, authorizations, provider enrollment, or documentation and coordinate resolution with the appropriate teams.
• Proficiency with billing or electronic health record systems, Microsoft 365, and Excel for tracking and reviewing work.
• Strong attention to detail, organization, problem-solving, and communication skills, with consistent documentation and follow-through.
• Ability to work independently in a remote setting and collaborate effectively across teams.
• Minnesota residency and successful completion of required background checks.

Nice To Haves

• Experience working directly with Minnesota DHS or other state healthcare program contacts to resolve billing and reimbursement issues.
• Experience with MN–ITS, EIDBI billing, and Minnesota Medicaid managed care plans.
• Experience in autism services, behavioral health, or outpatient healthcare billing.
• CentralReach experience.
• Certified Professional Biller (CPB) or related certification.
• Commercial insurance billing experience.
• Relevant postsecondary education in healthcare administration, business, accounting, or a related field.

Responsibilities

• Prepare, review, and submit accurate claims to Minnesota Medical Assistance, managed care organizations, and commercial insurers within payer timely filing deadlines.
• Monitor claim status and assigned accounts receivable; investigate unpaid or underpaid claims and follow through to resolution.
• Analyze rejections and denials, correct billing errors, and prepare appeals with supporting documentation.
• Track deadlines and escalate unresolved or high-risk claims.
• Verify insurance eligibility and coverage as assigned; coordinate resolution of authorization, provider enrollment, and other payer requirements with responsible teams.
• Maintain accurate client billing profiles, charges, payment postings, and adjustments within established procedures and approval limits.
• Respond to payer correspondence and records requests, coordinate required documentation, and track timely completion and submission.
• Communicate respectfully and clearly with clients and families about coverage and billing questions.
• Document follow-up actions, payer communications, and next steps in designated systems so work status is visible to the team.
• Identify recurring billing issues, share findings with leadership, and help implement approved process improvements.
• Support cross-training and backup coverage, meet established productivity and accuracy expectations, and protect confidential information in accordance with HIPAA and organizational policies.
• Complete miscellaneous assignments from the Revenue Cycle Manager and other management as needed.
• Work collaboratively to support all areas of billing and reimbursement as necessary.

Benefits

• Medical, dental, and vision insurance.
• Student loan repayment program after one year.
• Paid biweekly. The posting lists this under Benefits without specifying whether it is a separate benefit or the payroll frequency.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED